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NAVIGATOR/KAIAWHINA In a GP environment the clinical team has limited time and resources to attend to patient’s holistic wellbeing with most engagements are the standard 15 minute appointment. The most important phase of engagement is ‘Whakawhanaungatanga’. Listening and capturing their story at its rawest must be given respect.

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NAVIGATOR/KAIAWHINA There are whanau who identify their needs as ‘small’ or ‘one-off’ - but we have learnt that the smallest of need can have a huge impact on whanau.  My child has no shoes to wear to school  My child is always sick, always in hospital.  I have been kicked out of home.  I am sleeping in my car - I have no money - I have no food  I DNA my appointments because I have no transport or I have a car but I can not afford the registration / w.o.f / petrol.  I have come to see my doctor today because I have a sore knee but what actually pains me is I was raped as a child and now my 7yr old moko tells me she is being touched by a known person. Pathway Phone calls (network) – i.e. Salvation Army, Winz, Budget advice, CYF Phone calls to TDHB – OPD, Radiology Outcome Follow up – on-going aspirations

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Patient 1  Lives alone – ex wife and their 17yr old daughter live in NP  Friends picked up his medication from the pharmacy – they are all users  Friends took his eftpos card and emptied his account weekly  Friend was his signatory at the bank  He has short term memory loss  Cannot walk 2 flights of stairs – awaiting surgery for hip replacement  Has Multi outstanding bills  Has seizures – ambulance callouts numerous times, has an outstanding account  Unopened mail WHANAU ORA PLAN

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Patient 1 Pathway Kaiawhina – support and advocate to Winz, set up redirection of the benefit to support his outstanding accounts Access Ability – home support – PC, house cleaning, shopping Navigator – transport and support to medical appointments Conversation with pharmacy – weekly courier pick up & selected people to pick up Continence nurse support Medlab home visits Outcome Medication oversight Joined St John Ambulance membership group Bills / mortgage / insurance are being paid Cupboards are stocked weekly & meals are prepared Daily care support Transported to medical appointments Incontinent products available Communication with ex wife now active WHANAU ORA PLAN

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Patient 2 Pathway Access Ability – to support with PC & outings Deaf foundation – interpreter TDHB OT – assess bathroom Outcome Care support for outings in the event of seizures. Medical alarm Interpreter available when necessary Given a hospital bed Has a new wet-floor bathroom thanks to local tradesmen and businesses that provided free materials and time – now showers whenever she feels the need Volunteers for 2 hrs a week at the SPCA – she never ever thought in her wildest dream that this would be possible. WHANAU ORA PLAN

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